NPI | 1154760841 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN HALL Owner 973-831-2880 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
163W00000X Registered Nurse | |
183500000X Pharmacist | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |